Individual
THOMAS COLE WILLSON HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1508 DIVISION ST STE 105, OREGON CITY, OR 97045-1584
(503) 656-0836
(503) 656-9464
Mailing address
2737 SW 1ST AVE APT 2, PORTLAND, OR 97201-4732
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA196431
OR
Other
Enumeration date
06/05/2018
Last updated
12/09/2019
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